Xarelto Generic Is Still a Few Years Away: Here Are 6 Ways to Save While You Wait

Xarelto (rivaroxaban) is a commonly prescribed medication that helps prevent blood clots. There are many ways you can save on Xarelto. If you have commercial insurance, you may be eligible to pay as little as $10 for Xarelto using a savings card from the manufacturer. If you’re uninsured or underinsured, you may be eligible for Xarelto’s patient assistance program, which offers the medication free of cost.

Here’s some more information about Xarelto and how you can save on this medication until a generic becomes available.   

How popular is Xarelto?

Xarelto is an oral anticoagulant medication, more commonly known as a blood thinner. Other anticoagulants include Coumadin (warfarin), Pradaxa (dabigatran), and Eliquis (apixaban). Anticoagulant medications help to prevent blood clots that can cause a variety of health problems, such as deep vein thrombosis, stroke, and heart attack.

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Xarelto (Rivaroxaban)

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When will generic Xarelto be available?

We don’t know exactly when a generic version of Xarelto will be available. Based on the patent expiration and generic licensing, some experts think that generic Xarelto could be available in 2024.

How to save on brand-name Xarelto 

Since it could be a few until a lower-cost, generic version of Xarelto is available, you may want to consider ways to cut costs on the brand-name medication. Below are six ways you can save on Xarelto.

1. Use your insurance

The best way to save on Xarelto is to use insurance, if you have it. Yes, Xarelto is covered by most insurance plans, but there is a catch. Some plans require you to request a prior authorization or complete step therapy before they will cover the medication. 

In essence, prior authorizations and step therapy make getting your medication more complicated. You can learn more about these restrictions in this GoodRx Health article.

If you find that Xarelto isn’t covered by your insurance plan, ask your healthcare provider about an appeal. The exact process will depend on your insurance, but it often requires that you work with your provider to submit an appeal letter. 

It’s always a good idea to check with your insurance to make sure you’re getting the best price for Xarelto.

2. Pay as little as $10 per month with a savings card

The manufacturer of Xarelto, Janssen, offers a savings card to help people who have commercial insurance afford the medication. Below is more information about this program.

3. Apply for a patient assistance program

Janssen also offers a financial assistance program. You may be eligible for this program if you don’t have insurance or if you aren’t able to use a savings card. To qualify, your income needs to be below a certain level. Below is more information about this program.

4. Talk to your healthcare provider about alternative medications

While Xarelto doesn’t have a generic version, there are other medications you can consider. You can speak with your healthcare provider to see if these alternatives could work for you:

• Coumadin (warfarin): Coumadin is a popular anticoagulant that has an affordable generic alternative (warfarin), which costs an average retail price of around $11 for a 30-day supply. Keep in mind that taking Coumadin requires having regular blood tests to make sure you’re taking the right dose, based on how “thin” your blood is.

• Other anticoagulants: Pradaxa and Eliquis are both still only available as brand-name products, meaning they don’t have cheaper generic versions. But it’s possible that they could be less expensive than Xarelto, depending on your insurance.

For more information about how these anticoagulants compare, check this GoodRx resource on Xarelto alternatives. As always, you’ll want to speak with your healthcare provider if you think other medications might be more affordable for you.

5. Fill a 90-day supply

Filling a 90-day supply, instead of a 30-day supply, may help you lower your out-of-pocket costs. This is because some insurance companies offer you a better price if you get more medication at once. 

You can call your insurance company to find out if you can save money by getting a 90-day supply. Be aware that you may need a new prescription from your provider, authorizing a 90-day supply.  

6. Use a mail-order pharmacy 

Sometimes, health insurance plans include the option of getting prescriptions delivered through a mail-order pharmacy. Apart from saving you a trip to the pharmacy, a mail-order service may give you access to discounts or allow you to order a 90-day supply of your medication at a relatively lower cost.

To sign up, you can either fill out a mail-order form through your insurance company or have your healthcare provider call in or fax your prescription for you. 

GoodRx Gold also offers free delivery for almost 1,000 medications and up to 90% savings for around $10 per month.

Before using a mail-order pharmacy, check the prices offered by local pharmacies to make sure you’re getting the best deal. Also, if you need your medication right away, a mail-order pharmacy may not be the best option for you, since there can be delays.

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Written by:

Austin Ulrich, PharmD, BCACP

Austin Ulrich, PharmD, BCACP, is a board-certified ambulatory care clinical pharmacist. In his early career, he provided direct patient care in a variety of settings, including hospital and community pharmacies, and in a primary care clinic as a clinical pharmacist.

Edited by:

Samvida Patel, MNSP, INHC

Samvida Patel, MNSP, INHC, is a health editor at GoodRx. She is a nutritionist and integrative nutrition health coach with over 8 years of experience in health communications.

Reviewed by:

Christina Aungst, PharmD

Christina Aungst, PharmD, is a pharmacy editor for GoodRx. She began writing for GoodRx Health in 2019, transitioning from freelance writer to editor in 2021.

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